Sandra Diane Kikano, MD | |
2301 Erwin Rd, Durham, NC 27710-1716 | |
(919) 681-2916 | |
Not Available |
Full Name | Sandra Diane Kikano |
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Gender | Female |
Speciality | Pediatrics |
Location | 2301 Erwin Rd, Durham, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639603889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2024-01006 (North Carolina) | Secondary |
208000000X | Pediatrics | 61461 (Tennessee) | Primary |
Entity Name | Vanderbilt University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
Mailing Address | Practice Location Address |
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Sandra Diane Kikano, MD 2301 Erwin Rd Fl 2, Durham, NC 27705-4699 Ph: (919) 681-2916 | Sandra Diane Kikano, MD 2301 Erwin Rd, Durham, NC 27710-1716 Ph: (919) 681-2916 |
Candice Marlow Ray, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27710 Phone: 919-684-8111 | |
Vinod Prasad, Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467 | |
Michelle Bailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Duke University Medical Ctr, Durham, NC 27710 Phone: 919-620-4467 | |
Dr. Vijaya Kumar Konda Reddy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
May Kuo Slowik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4101 N Roxboro St, Durham, NC 27704 Phone: 919-684-8111 | |
Dwight Dudley Koeberl, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467 | |
Ira Cheifetz, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467 |